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Administrative Review Summary Report

​Date:  08/30/18

Name of Agency:  Legacy of Hope Foundation

                                                                                                   Date of off-site review: 07/12/18

Reviewer:  Matthew Smith                                                    Date of on-site review: 08/16/18

Persons interviewed:  Helen Swope                                     Date of exit conference: 08/16/18

This School Food Authority (SFA) operates the National School Lunch Program and the School Breakfast Program.

The following areas were corrected prior to the On-Site Portion of this Administrative Review (AR):

  • HACCP food safety plan: During the On-Site visit the SFA could not locate the site's HACCP food safety plan.  7 CFR Part 210.13 (c), requires all SFAs to have a written food safety program for each site.  The SFA found the written HACCP plan after the SA reviewer left the site and provided the SA reviewer with an electronic copy of the site's plan.

Corrective action for the above was made prior to the conclusion of the On-Site portion of this AR.  No further action is required for the above.  

Findings and Recommendations Identified During the Off-Site Portion of the Review Conducted July 12, 2017:

Meal Patterns:A review of 06/10/18 through 06/16/18 indicated some insufficient portion sizes at lunch. 

The lunch meal pattern 7 CFR 210.10 (c) requires the following minimum serving sizes; 2 oz. by weight meat/meat alternate daily and 14-17 oz. per week, 2oz. by weight bread/grain daily and 14-17 oz. per week, 1 cup fruit daily and 7 cups per week, 1 cup vegetables daily (dark green subgroup ½ cup/week, red/orange subgroup 1 ¼ cup/week, legumes subgroup ½ cup/per week, starchy subgroup ½ cup/week, and other subgroup ¾ cup/week) 7 cups/week, and 1 cup fluid milk daily, 7 cups weekly, offered as a choice between 1% and fat free. 

Insufficient quantities

  • On 06/10/17,the tortilla served with the meal only credited at 1.5 oz. toward the daily bread/grain component serving
  • On 06/11/18, the bread used with the meal only credited 1.75 oz. toward the daily bread/grain component serving.
  • On 06/12/18, the bread used with the meal only credited 1.75 oz. toward the daily bread/grain component serving.
  • On 06/13/18, the bread used with the meal only credited 1.75 oz. toward the daily bread/grain component serving.
  • On 06/15/18, the bread used with the meal only credited 1.75 oz. toward the daily bread/grain component serving.
  • On 06/16/18, the bun served with the meal only credited at 1.75 oz. toward the daily bread/grain component serving.
  • The above insufficient serving sizes caused the weekly serving for the bread/grain component to be insufficient; the SFA only served 13.75 oz.

The above insufficient serving sizes were determined to be non-systemic in nature.

The State Agency (SA) is exercising its discretion to not apply fiscal action for the above insufficient quantities as allowed for under 7 CFR Part 210.18 (g) (2).

It is very important for your staff to carefully review planned menus, product labels and recipes to ensure, the meal pattern requirements are met for every meal claimed for reimbursement. It is critical that your staff document everything that is served as part of a reimbursable meal. 

To demonstrate compliance with Meal Patterns:

  • Review your menus for compliance with the meal patterns for grades 9-12.
  • Bring all insufficient serving sizes and missing components in compliance with the meal patterns for grades 9-12.
  • Submit your plan for corrective action to demonstrate understanding and compliance.    

Whole Grain-Rich (WGR) Bread/Grain: For the reviewed menu week of June 10 through 16, 2018; your agency did not meet the 100% Whole Grain-Rich (WGR) requirement for bread/grain products served at lunch and the School Breakfast Program, 7 CFR Part 220.8 (c) (2) (iv) and 7 CFR Part 210.10 (c) (2) (iv).  For the lunch the percentage for meeting the whole grain rich requirement was at 81%.

  • 06/16/18 the bun served with the lunch meal on this date was not WGR.

In order for an item to be WGR it must contain 50% whole grains by weight. The easiest way to tell is to look at the ingredients on the label. If the first ingredient is a Whole Wheat Flour or a Whole Grain, you're good. If a Whole Grain product is not listed first, you need to choose a different product that lists the correct grain first. The key is the word Whole.

Note:  Findings for the whole grain-rich requirement may result in fiscal action for repeat violations on future reviews. 

To demonstrate compliance with Whole Grain Rich Bread/Grain Requirements:

  • Evaluate your products to determine if they meet the whole grain rich requirement. Replace any products you determine don't meet the WGR requirement.  
  • Provide a copy of your corrective action plan to demonstrate understanding and compliance.

Reviewer's Comments:  I want to commend the staff members who work with the SFA's school nutrition programs on a job well done during this review!  Keep up the good work. 

Procurement Review Summary Report

Date:  08/30/18

Name of Agency:  Legacy of Hope Foundation

                                                                                                   Date of AR off-site review: 07/12/18

Reviewer:  Matthew Smith                                                    Date of AR on-site review: 08/16/18

Persons interviewed:  Helen Swope                                     Date of exit conference: 08/16/18

This School Food Authority (SFA) operates the National School Lunch Program and the School Breakfast Program.

The following areas were corrected during the Procurement Review (PR):

There were no findings for the procurement review.

Reviewer's Comments:  I want to commend the staff members involved with your agency's procurement for the school nutrition programs that your agency operates on a job well done. 

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